“…A high clinical presumption associated with imaging techniques, especially CT-scan, have a major role in establishing the definitive diagnosis (17). At this moment, SEP is classified as primary (or idiopathic) SEP or secondary SEP, depending on the cause and on the histopathological aspects of the encapsulating membrane (21)(22)(23). Primary SEP, also referred to as abdominal cocoon syndrome, is classified into three categories based on the extent of encasement by the membrane (24,25).…”